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Orthopedic alignment guide

a technology of orthopaedic guide and orthopaedic guide, which is applied in the field of orthopaedic guide, can solve the problems of affecting the accuracy of the knee joint pre-fracture position before fixation, and affecting the development of arthritis

Active Publication Date: 2020-05-07
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The present invention provides an orthopedic guide for aligning bones under fluoroscopic imaging. This guide includes a rod and a indicator held by a carrier. The rod and indicator are parallel to each other and form an angle of less than 90 degrees. The rod is designed to align with an axis of the bone, while the indicator is aligned with a joint of the leg. The angle between the rod and indicator is measured to match the anatomical orientation of the axis and joint in a frontal plane of the leg. This invention allows for more accurate alignment of bones during surgery.

Problems solved by technology

However, restoring the knee joint accurately to its pre-fracture position before fixation can be challenging.
If the femur is not fixed properly, the knee joint may be loaded asymmetrically when the leg bears weight, which can damage the joint and promote development of arthritis.

Method used

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  • Orthopedic alignment guide
  • Orthopedic alignment guide
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Examples

Experimental program
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Effect test

example 1

Orthopedic Alignment Guide for a Mechanical Axis of a Skeleton

[0062]This example describes an exemplary orthopedic alignment guide 150 having an axial member 64 configured to be arranged parallel to a linear mechanical axis defined by bones of a skeleton; see FIGS. 11-15.

[0063]FIG. 11 shows a partially exploded view of guide 150. The guide may be structured generally as described above in Section I for guide 50, and may have any suitable combination of elements and features disclosed elsewhere herein. For example, guide 150 includes an axial member 64 and a transverse member 66.

[0064]Axial member 64 of guide 150 may be significantly longer than the corresponding axial member of guide 50, to facilitate aligning the axial member of guide 150 with a mechanical axis defined by a pair of movable joints of the skeleton, such as the hip joint and the ankle joint of a left or right leg (see below). To span the distance between the pair of joints, the axial member may be at least twice as lo...

example 2

Joint Alignment Guide with Protractor

[0070]This example describes an exemplary orthopedic alignment guide 250 forming a protractor 252; see FIGS. 16 and 17.

[0071]Guide 250 may be structured generally as described above in Section I for guide 50 and / or guide 150 of Example 1, and may have any suitable combination of elements and features disclosed elsewhere herein. For example, axial member 64 of guide 250 may be configured to be aligned with an anatomic axis or a mechanical axis of a leg or arm, among others. However, guide 250 may form an angle (θ) of 90 degrees between axes 68, 70 defined respectively by axial member 64 and primary indicator 92 of transverse member 66, when the axes are projected orthogonally onto a plane. The primary indicator is marked as “0” on the guide. Offset indicators 94 may be offset uniformly from primary indicator 92 and one another, and by an integral number of degrees (e.g., 1, 2, 3, 4, or 5 degrees, among others), to form a protractor. In the depicte...

example 3

Selected Embodiments

[0073]This example describes selected embodiments of an orthopedic alignment guide and methods of using the guide to align and / or confirm alignment of bone. The selected embodiments are presented as a series of numbered paragraphs.

[0074]Paragraph 1. A method of bone alignment under fluoroscopic imaging, the method comprising: (A) selecting a guide including a radiopaque axial member, a radiolucent carrier, and a radiopaque indicator held by the carrier, wherein the axial member and the indicator are parallel to the same plane and form an angle between one another of less than 90 degrees when projected orthogonally onto the plane, and wherein the carrier has a first side and a second side opposite one another; and (B) aligning the axial member with an axis defined by one or more bones of a leg, and the indicator with a joint of the leg, in an anterior-posterior, fluoroscopic view of the leg; wherein the first side of the carrier faces the joint if the leg is a lef...

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Abstract

Orthopedic guide, and methods of using the guide, for alignment of bone under fluoroscopic imaging. In an exemplary embodiment, the guide may include a radiopaque rod, a radiolucent carrier, and a radiopaque indicator held by the carrier. The rod and the indicator may be parallel to the same plane, and may form an angle between one another of less than 90 degrees when projected orthogonally onto the plane. The rod may be configured to be aligned with an axis defined by one or more bones of the leg, and the indicator aligned with a joint of the leg, in an anterior-posterior, fluoroscopic view of the leg. The angle formed between the rod and the indicator may correspond to an anatomic orientation of the axis and the joint relative to one another in a frontal plane of the leg.

Description

CROSS-REFERENCE TO PRIORITY APPLICATION[0001]This application is a divisional of U.S. patent application Ser. No. 15 / 654,641, filed Jul. 19, 2017 titled “ORTHOPEDIC ALIGNMENT GUIDE”, which is incorporated herein by reference in its entirety for all purposes.INTRODUCTION[0002]The knee joint is formed at the junction of the femur (thigh bone), tibia (shin bone), and patella (knee cap). Trauma to the leg can fracture the femur distally near the knee joint. If the femur is fractured sufficiently, the bone may need to be fixed surgically for stabilization and to encourage osteosynthesis.[0003]A distally fractured femur may be fixed with a spanning member, such as a bone plate mounted on the lateral side of the bone. However, restoring the knee joint accurately to its pre-fracture position before fixation can be challenging. If the femur is not fixed properly, the knee joint may be loaded asymmetrically when the leg bears weight, which can damage the joint and promote development of arthr...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61F2/46A61F2/36A61B17/88
CPCA61B17/1703A61B17/8866A61B2090/3966A61F2/4601A61F2/3609A61F2/36A61F2002/3008A61F2/4603A61B5/4504A61B5/4585A61B5/1071A61B6/505A61B6/487
Inventor FEDERSPIEL, JOSHUA P.ANANTHAN, BHARADWAJMATITYAHU, AMIR M.VANVLEET, DAVID W.
Owner ACUMED